Currently submitted to: JMIR Research Protocols
Date Submitted: Oct 7, 2019
Open Peer Review Period: Oct 7, 2019 - Dec 2, 2019
(currently open for review)
Influence of cognitive functioning on powered mobility device use: a systematic review protocol
Power mobility devices (PMD) are critical to achieving independent mobility and social participation for many individuals who have trouble walking. Provision of PMD is complex, with cognitive functioning expressed by clinicians as a major concern. Indeed, even if PMD use can be predicted by the level of cognitive functioning, outcome tools used to assess readiness do not consider how cognitive functioning may affect PMDs use.
The specific aims of this review are to: (1) identify existing assessments used to assess cognitive functioning and PMD use; (2) classify, according to the International Classification of Functioning Disability and Health, cognitive functions that are identified within existing assessments related to PMD use; (3) explore the relationships between cognitive functioning (i.e., executive function, attention) and PMD use.
A systematic review will be conducted using electronic databases (MEDLINE/Ovid, CINAHL, EMBASE, PsycINFO/Ovid, Web of Science) based on the concepts of PMD performance and capacity, and cognitive functioning. Inclusion criteria: 1) sample of PMD users (inclusive of age and diagnoses); 2) assessment of cognitive functioning, and 3) assessment of PMD capacity or performance. The International Classification of Functioning, Disability and Health will be used to classify cognitive functions. Study quality will be assessed using the Mixed Methods Appraisal Tool. Descriptive syntheses will be done to describe relationships between cognitive functioning and PMD use. Pearson correlation coefficients will be calculated when possible. (Funded by the Quebec Rehabilitation Research Network, approved February 2019).
This proposed systematic review protocol has been registered in PROSPERO (CRD42019118957).
Results will inform the development of a PMD driving program that aims to enhance cognition. The results of this study will enhance understanding of the influence of cognitive functioning on PMD use and will support clinical practice for choosing appropriate evaluative tools. Clinical Trial: PROSPERO registration: CRD42019118957
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